| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,941 |
1,606 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,912 |
1,546 |
$41K |
| 90832 |
Psychotherapy, 30 minutes with patient |
748 |
514 |
$35K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
2,890 |
2,296 |
$32K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
3,086 |
2,783 |
$14K |
| 3008F |
|
1,977 |
1,547 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
26 |
$3K |
| 3078F |
|
738 |
586 |
$2K |
| 3074F |
|
717 |
571 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
128 |
48 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
46 |
39 |
$589.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
13 |
$294.95 |
| 90688 |
|
42 |
33 |
$273.02 |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$187.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$170.72 |
| 3079F |
|
66 |
51 |
$130.00 |
| 36415 |
Collection of venous blood by venipuncture |
63 |
51 |
$89.10 |
| 3075F |
|
31 |
24 |
$50.00 |
| 81003 |
|
14 |
12 |
$30.12 |
| 98966 |
|
29 |
15 |
$0.00 |
| 1159F |
|
14 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$0.00 |
| 96160 |
|
15 |
13 |
$0.00 |
| 1160F |
|
14 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
14 |
$0.00 |
| 4037F |
|
68 |
43 |
$0.00 |
| 3044F |
|
57 |
42 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
12 |
$0.00 |
| 92551 |
|
15 |
12 |
$0.00 |